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Dietary therapy and non‐surgical periodontal treatment in obese patients with chronic periodontitis
Author(s) -
MartinezHerrera Mayte,
LópezDomènech Sandra,
Silvestre Francisco Javier,
SilvestreRangil Javier,
Bañuls Celia,
HernándezMijares Antonio,
Rocha Milagros
Publication year - 2018
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.13030
Subject(s) - medicine , chronic periodontitis , weight loss , periodontitis , anthropometry , clinical attachment loss , obesity , gastroenterology , dentistry , gingival and periodontal pocket , periodontology
Aim The effect of dietary weight loss intervention on periodontal therapy is unknown. Therefore, we aimed to evaluate whether weight loss improves the response of obese subjects to non‐surgical periodontal treatment. Materials and methods This interventional study in obese patients was conducted at the University Hospital Dr. Peset (Valencia, Spain). Patients were divided into two groups with and without dietary therapy. All participants received non‐surgical periodontal treatment. Periodontal, anthropometric and biochemical parameters were assessed at baseline and 12 weeks. Results A total of 78 patients were re‐evaluated after intervention. All periodontal parameters improved in both groups after periodontal treatment, but the reductions in mean probing depth (PD) (0.23 mm vs. 0.12 mm) and in percentage of sites with PD 4–5 mm (10.4% vs. 5.89%) were significantly higher in the dietary group. Additionally, complement component 3 (C3) and tumour necrosis factor alpha (TNFα) decreased in the dietary group after intervention. Percentage of change in mean PD correlated with change in C3 ( r = 0.233, p = 0.043), and percentage of change in sites with PD 4–5 mm correlated with change in TNFα ( r = 0.414, p = 0.012). Conclusions This study suggests that dietary weight loss intervention causes a greater reduction in systemic inflammation, which may enhance the response to periodontal treatment.